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HomeMy WebLinkAbout10712 �. . ✓�� ---- -"• CTI'Y OF D[AMOND BAR r"� ' COMMUNITY DEVELOPMENT DEPARTMENT 3✓ 21660 E.Copley Drive Suite 190 /� � (909)860-3195 Fax(909)861-3117 PRESS "^�'�` BUILDING PERMIT APPLICATION '� FIRMLY ? ¢ DDR'ESS�� l�.I ��� �t��.=. lA� DATECATION � ,�j '6^.'�� NUMBER_��I�#/C ' �>.b��C. f` ��' � ISSUE �} TYPE OCC � � APN LOT TRACT DATE � `"Y CONST.. GROUP � p OWNER = � o ADDRESS ��� N CJf_d L.l.� ZONING SETBACKS ti w '�- FRONT RW U I Z CITY� ' ZIP TEL. �xc� �a� ��,=��',`�j REAR rl � g APPLICAN� TEL. SIDEISIDE STREET RW ❑ c _ j `. SIDE ❑ i md CONTRACTOR � � ADDRESS �/.'�'��l��,i`�:°?!>�° j.�;,� ' `,`���';?�'.*'�^....•-" '� � CITY ' ZIP�I�L.31S� T L:'7ia-i ���''��' PROPOSED USE .�a ; w ARCH/ G/ �i� z DESIGNER I4-''l.1 111Z4.P'��s'� -- NO.DWEL. NO. NO. �! a ADDRESS �-�-�— UNITS p STORIES � BEDROOMS i � CITY�j7��+�IP TEL..� �i y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER•BI:ILDER DECLARATION SFR/ADDlREM i O ,j p I HFAEBY AFFIRM UNDER PENALTV OF PERJUHY THAT 1 AM C-xE.MPl FROM THE fANTRACTOHS LI� G8�89BIC9I�Of� � W CENSELAWFORTHEFOLLOWINGREASON(SEC.7o31.58U51NESSANOPROFE5510N5CO�E:ANYCITYOR (n U COUNTYWHICMRE�UIqESAPERMRTOCONSTRUC7,ALTER,IMPROVE,�EMOUSH,ORREPAIflANYS7RUC- W pg(jO/DBCk �i Z TURE,PRIOR TO ITS IS5UANCE.AL50 REOUIRES THE APPUCAIJT FOR SUCH PEflMIT TO FILE A SIGNED ' W STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� �j � CENSE LAW(CHAPTEq e(COMMENCINO WITH SECTIDN 70D0)OF DIVISION 30F THE BUSINES6 AND PRO- � u' PooUSpa FESSIONS CODE)ORTHAT HE OR SHE IS EX[MPT 7HEREFFOM lW D THE BA515 FOH THE RILEGEO EBEMP- ,� �� TION.MIYVIOLA710NOFSECT10N7031.5BYANVAPPLICANTFORAPEiiMITSU&IECTSTHEAPPLICANTTO z Re-Roof � � ACIVIL PENALTI'OF NOT MORE THAN fIVE HUN�RED DOLLAFIS�5500).): ❑I.ASOWNEROFTFIEPROPERTY,ORMYEMPLOYEESWITHWAGESASTMEIRSOLECOMPENSATION, O COR11BBfClAI ; Z WILL DO 7HE WORK,AND THE S7RUCTLJRE IS NO7 INiENOED OR OFFERED FOR SALE(SEC.70a6,BUSI- � J . NESS AND PROFE9310NS CODE:TNE CONTflACTOflS LICENSE LAW DOES NOT APPLY TO AN OWNER OF ! N PROPER7YWHOBUILDSORIMPROVESTHEflEON.ANOWFiOWESSIJGHWORKHIMSELFORHERSELfOfl � � � �� THNOUGH HIS OR HER OWN EMFLOYEES,PROVIDEO THATSUCH IMPROVEMENTSARE NOT INTEN�EOOR m � Q OFFEREOfORSAIE.IF,HOWEVERTNEBUILDINGORIMPqOVEMENTISSOLDWRHINONEYEAHOFCAMIVLE- � TKKJ,THE OWNER�BUILDER WIIL HAVE THE BUH�EN OF PROVING THAT HE Ofl SHE DID NOT BUIIA OR � � IMPRDVEFORTNEPUFPOSEOFSALE). C71,�SOWNEROFTHEPROPERTY,AME%CWSIVEIVCONTRACTINGWITHLICENSEDCONTRACTORS • ��� �'XI, �, TO CONSTHUCT THE PRPIECT(SEC.7014,8U91NE55 AND PROFF.SSIONS CADE:THE CONTRACTORS LI- VaIU3t10f1 J' �% � �-� :>__ADJ.AREA � � CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPEFTYWHO�UIIDSORIMPROVESTHEf1EON,AND j �WHOCONTRACTSFORSUCHPR0.)ECTSWITHACANTRACTOH(S�LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE } TOHSLICENSELAW.), � , �f.� 7 �� ❑1 AM EXEMP7UNDERSEC. ._,.__.___ g.8 P.G FOR THIS FIEASON : U � C���� � �� A � — ¢ � � DFTE_... OWNER__ .. . F- Z W � LICENSED CONTRACTORS DECLARATION �( W � �- I HEHEBYAFFIRM UN�ER PENALTY OF PERJURY TMAT I AM LICEN3ED UNDER PflOV15!ONS OF CHAPYEF �, � � d 9(COMMENCINOWITHSECTION70W)OFDIVISION30FTHE6USINESSPNUPROFESSIO4SCADE,AND . Z �j �X MV UCENSE IS IN FULL FORrCE7AND EFFECT. , m � � LICENSE GLASS_,_�-/ - LIC.NO.__�_J�-�' ; � U DATE__��Zi&�� CONTRACTOR {� -��'� k ��� �, WORKEFIS'COMPENSATION DECLARATION , Q •� �£�. . �';rt°"�� 9 � U i � IHEFEBYAFFIRMl1NDEFVENALTYOFPERJURYONEOFTHEFOLLOWINGDEIXAMTIONS: " � Z j i Q F 0� _I HAVE AND WILLMAINTAIN A CERTIFICATE OF CANSENTTO SELF�INSURE FOR WORKERS' ': S � a COMPENSATION,AS PNOVIDE�BY SECTION 3'/o00F 7H[IABOft CODE,FOR THE PEHFORMANCF. ; �U � � OF THE WOPK FOR WHICH THIS PEFMIT IS ISSUED. ., � i _IHAVEANDWILLMAINTAINWOHKERS'COMPENSATIONINSURANCE,ASREOUIREDBYSEC710N , � /�� �V Q 77ooOFTHELA80RCODE.FOHTNEPEAFORMANCEOFTHEWOflKFOHWHICHTHISPERM1T15 4 �� ,r�" �� ISSIJED.MY WORKEHS'COMPENSATION INSURANCE CTHRIER AND POLICV NUMBEHARE: ONST � -��,�� .. �te. � j CARRIER ____. ___ ==�P.J„�N REVI�� _ ' � z POLICVNUMBER__ EL �� � dp (IHISSECTIbNNE�NOTBEOD6IPLETFDOFT}EPEFUNTISFORONEMFDREDOOLLNiS(5100�OHLE55� PLUMB�� _ I Z� I CEflTIFY THAT IN THE PEflFORMFNCE OF THE WORK FOR WHICFI THI9 PERMIT IS ISSUED.I — �� � (�}�,� SHALLNOTEA/PIOVANYPERSONINANYMANNER50ASTO8ECAMESU&IECTTOTHE . �I � WORKERS'COMPENSATIONLAWSOFCALIFOANIA,ANOAGR'eETHATIFISYpULODECOME INSPEGTIONFEE � _�__.______._,.� —.__ _� SUBJECTTO THE WORKEHS'COMPENSATION PROVISIONS OF SEC7 37000F THE LABOR �� '� _� CADE,1 SHALL FORTHWITH COAIPLY WITH T E PRO SIONS SSUAN .2+�. � ��I�'��' APPLICAM: SMIP v •'.. �a�J i p'� DATE: � � -- —� . w NERGY P ��' "� ' �. WAFiNING:FAILIIRE TO SECURE WORKERS'COMPENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE _ , ��r LL� SIJ&IECTANEMPIOYEFTOCRIMINALPENALTIE5RNOCIVILFINESLIPTODNEHUNDREDTH0U5AND E T __ �g'� � �� ��, a DOLLARS(5700.aa0I.IN PDDITION TO THE COSTOF COMPENSATION,OAMAGE&AS PROVIDED FOR M —� � �. SECTION 3108 OF THE LABOR COOE,INTEREST.ANDATTORNEY'S FEES. F : ___ �� �, d�. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: ` _ O; Q� 1 HENEBY AFFIRM UNDER PENALTY OF PERJURV TMA77HERE IS ACONS7flUCTION LENDING A;ENCY _ (�'�,Tu�"�'Y'4 �i �' 'I��� I d� FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMITISISSUE�(SEC.7oB�,CIV.C.. `y,_�"�i ;I w� _ �'�. LENDEfl'S N11ME •.r_, I .F_' LENDER'SAD�RE55 _._ �-- i_ -� � � �'' �CERTIFYTHATINAVEREAD7MISAPPLICATIIXJANDSTATETHATiHEABOVEINFORMATIONISCONRECT. �" TOTAL FEES - . " ' i ' ' �` � �~ i':. . , w�� IAOREETOCAIAPLVWITHALLGTVAN�CDUN7VORDINANCESANDSTPTEUWSRELATING708UIL�ING ��% �4 CONSTRUCTION,AND HEREBV AUTHOfiRE REVRF.SENTAiIVES OF THIS CAUNTY TO EMERUPON THE ,/� /'��/s� �`''� . � A90VE•MENTIONED PROPEHT'FOR INSPECTION PUHPOSES. -�� ����=i �%'�7'�,F �1� ��M�,a.�- � COMMENTS n � �° lA A� �� ��C.t`� � Q� PE NITTE (PHINi1 � � r'i y � � y� SIONA O PERMITTE RECPL NO. /' PAID BY ���� VALIDATION � F=— WHITE—Depariment Copy,YELLOW�inance Copy.PINK—Assessor Copy,GOLDENROD--Fila Copy,GREEN—Appllcant's Copy � ���,���i�.���� ��� ' ������r'�`��� ������� � '; •- � � � • � . ,�Y � � t o � � s�r��cK , , F:�.c�c���oisr. ._ _. .: _ F"!"�a�/FC��P�S/.����L �/��;'j --�� - FHA REQNtT� - ' -- - _ ; EL�CTRICGROUMD /_.�_,_ .i i� ''�. � .U�JUERFLOOFi�ql�Cl_,� ��� ` "fy-�'" L� 4 ---- - __ __ _�S 4 . 4 ,� -�. — --._, __ _--- — ,-�--r- _..---- , , , , . ��otj�v��LuM�i�c, � _ , � �.�rv�E1�•��o►���u�i�uir _ � 9= �i __ �. — _ �—.— —. � � � ---�-------�-- — .. �, , ., , sI..AL3 GRAQE ` �: `. 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